FIGO position statement on postpartum intrauterine devices (PPIUD)

Postpartum contraception is a critical intervention to address the unmet need for family planning, which affects over 218 million women globally, predominantly in low‐ and middle‐income countries (LMICs). Immediate postpartum family planning (PPFP) offers a unique opportunity to provide contraceptio...

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Vydáno v:International journal of gynecology and obstetrics Ročník 169; číslo 3; s. 1127 - 1132
Hlavní autoři: Makins, Anita, Ahsan, Azra, Waqas, Marium, Kasliwal, Asha, Sridhar, Aparna, González, Cuauhtemoc C., Lam, Wai‐cheung, Bonsergent, Silvia, Momat, Felix, Kallner, Helena K., Ooi, Sara, Fuchs‐Montgomery, Nomi, Kerrigan, Monica, Askew, Ian
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States John Wiley and Sons Inc 01.06.2025
Témata:
Contraception - methods
contraceptive counseling
Developing Countries
Family Planning Services - methods
Female
healthcare integration
Humans
immediate postpartum contraception
Intrauterine Devices
Long-Acting Reversible Contraception - methods
long‐acting reversible contraceptives (LARCs)
Postnatal Care - methods
Postnatal Care - standards
postpartum family planning (PPFP)
postpartum intrauterine device (PPIUD)
Postpartum Period
Pregnancy
Regular Issue
Special
task sharing
unmet contraceptive need
unmet contraceptive need
task sharing
postpartum family planning (PPFP)
immediate postpartum contraception
postpartum intrauterine device (PPIUD)
contraceptive counseling
long‐acting reversible contraceptives (LARCs)
healthcare integration
ISSN:0020-7292, 1879-3479, 1879-3479
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Shrnutí:Postpartum contraception is a critical intervention to address the unmet need for family planning, which affects over 218 million women globally, predominantly in low‐ and middle‐income countries (LMICs). Immediate postpartum family planning (PPFP) offers a unique opportunity to provide contraception during a crucial health‐seeking encounter, particularly given the rise in institutional births worldwide. Short inter‐pregnancy intervals are associated with increased maternal and neonatal morbidity and mortality, making timely postpartum contraception essential. The postpartum intrauterine device (PPIUD), a long‐acting reversible contraceptive (LARC), is a highly cost‐effective, non‐hormonal method with a low failure rate. It can be safely inserted immediately after vaginal or cesarean delivery, offering women a reliable and accessible option. However, successful implementation of PPIUD services requires overcoming barriers such as fragmented health services, provider bias, sociocultural misconceptions, and supply chain challenges. FIGO advocates for integrating PPFP, including PPIUD, into routine maternity care and emphasizes task sharing, community engagement, and comprehensive counseling as critical strategies. By incorporating postpartum contraception into standard maternal care, particularly in LMICs, health systems can improve maternal and child health outcomes, advance Sustainable Development Goals (SDGs), and empower women to make informed reproductive choices.
Bibliografie:Members of the FIGO Committee on Contraception are listed at the end of the document.
Anita Makins and Azra Ahsan are joint first authors.
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ISSN:0020-7292
1879-3479
1879-3479
DOI:10.1002/ijgo.70146